References of "Baumann, Michèle 50000634"
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See detailThe Role of occupational activities and Work environment in occupational injury and interplay of personal factors in various age groups among Indian and French coalminers.
Battacherjee, Ashis; Kunar, Bijay; Baumann, Michèle UL

in International Journal of Occupational Medicine and Environmental Health (2013), 26(6), 910-929

The role of occupational hazards in occupational injury may be mediated by individual factors across various age groups. This study assessed the role of occupational hazards as well as contribution of ... [more ▼]

The role of occupational hazards in occupational injury may be mediated by individual factors across various age groups. This study assessed the role of occupational hazards as well as contribution of individual factors to injuries among Indian and French coalminers. Material and Methods. We conducted a case-control study on 245 injured workers and on 330 controls without any injuries from Indian coal mines using face-to-face interviews, and a retrospective study on 516 French coalminers using a self-administered questionnaire including potential occupational and personal factors. Data were analyzed using logistic models. Results. The annual rate of injuries was 5.5% for Indian coalminers and 14.9% for the French ones. Logistic model including all occupational factors showed that major injury causes were: hand-tools, material handling, machines, and environment/work-geological/strata conditions among Indian miners (adjusted odds-ratios 2.01 to 3.30) and biomechanical exposure score among French miners (adjusted odds-ratio 3.01 for score the 1–4, 3.47 for the score 5–7, and 7.26 for score ≥ 8, vs. score 0). Personal factors among Indian and French coalminers reduced/exacerbated the roles of various occupational hazards to a different extent depending on workers’ age. Conclusion. We conclude that injury roles of occupational hazards were reduced or exacerbated by personal factors depending on workers’ age in both populations. This knowledge is useful when designing prevention which should definitely consider workers’ age. [less ▲]

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See detailTwo years post-stroke: the effects of dissatisfaction with services and quality of information on patients’ quality of life in Luxembourg
Baumann, Michèle UL; Chau, Nearkasen

in Best Investissements for Health (2013)

Stroke is the second cause of death and helps from socio-medical services and information are crucial for promoting post-stroke patient’s quality of life. We analysed the impact of dissatisfaction with ... [more ▼]

Stroke is the second cause of death and helps from socio-medical services and information are crucial for promoting post-stroke patient’s quality of life. We analysed the impact of dissatisfaction with these services and information on post-stroke patient’s quality of life taking into account socioeconomic factors and functional impairments, which remains little documented. Methods: All 2-year post-stroke patients admitted to all hospitals in Luxembourg were identified using the only care-expenditure-reimbursement national system database. Clinical diagnosis of cerebrovascular disease was confirmed. Ninety four patients living at home (mean age 65.5) were face-to-face interviewed to gather socioeconomic characteristics (sex, age, nationality, family structure, education, occupation, income and residence place) and to measure quality of life (using the Newcastle Stroke-Specific Quality of Life measure, noted Newsqol (assessing mobility, self-care, pain, cognition, vision, communication, feelings, relationships, emotion, sleep and fatigue) and dissatisfaction with various services and information. Data were analysed using multiple regression models. Results: Most functional impairments impacted multiple Newsqol dimensions. Language impairment related to most Newsqol dimensions (mobility, self-care, cognition, vision, communication, feelings, relationships, sleep and fatigue); memory impairment to pain, cognition, feeling, emotion, and sleep; motor impairment to mobility, self-care, pain, feeling and fatigue; visual impairment to relationships in addition to vision; sensory impairment to pain, communication, emotion and sleep. Controlling for all socioeconomic factors and functional impairments evidenced that dissatisfactions with helps and information about helps from community services were strongly associated with all Newsqol dimensions including mainly self-care, communication, mental feeling, relationships, emotion and sleep. Lack of information about stroke was associated with relationships and sleep. Conclusion: Improving help services and information about helps and cerebrovascular disease in chronic phase should highly impact patients’ quality of life. It is important to promote patient-centred care focusing on information need, financial need, and medical, technical and personal aids. [less ▲]

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See detailSocioeconomic inequities patterns of multi-morbidity in early adolescence.
Chau, Kénora; Baumann, Michèle UL

in International Journal for Equity in Health (2013), 12

Background: Multi-morbidity such as cumulating mental health, behavioral, and school difficulties (consumptions of alcohol, tobacco, cannabis, and hard drugs, obesity, depressive symptoms, suicide ... [more ▼]

Background: Multi-morbidity such as cumulating mental health, behavioral, and school difficulties (consumptions of alcohol, tobacco, cannabis, and hard drugs, obesity, depressive symptoms, suicide attempts, involvement in violence, and low school performance) is common in early adolescence and can be favored by a number of socioeconomic factors (gender, age, nationality, family structure, parents’ education, father’ occupation, and income). This study assessed the concurrent roles of various socioeconomic factors in multi-morbidity defined as cumulated number of difficulties (CD) which has been partially documented. Methods: Adolescents from middle schools in north-eastern France (N = 1,559) completed a questionnaire measuring socioeconomic characteristics and mental health, behavioral, and school difficulties. Data were analyzed using logistic regression models. Results: Alcohol use affected 35.2% of subjects, tobacco use 11.2%, cannabis use 5.6%, hard drugs use 2.8%, obesity 10.6%, depressive symptoms 13.3%, suicide attempts 9.9%, involvement in violence 10.3%, and low school performance 8.2%. Insufficient income and non-intact families impacted most mental health, behavioral, and school difficulties with adjusted odds ratios (ORa) between 1.51 and 3.72. Being immigrant impacted illicit drugs use and low school performance (ORa 2.31-4.14); low parents’ education depressive symptoms (1.42) and school performance (3.32); and manual-worker/inactive offspring low school performance (2.56-3.05). Multi-morbidity was very common: CD0 44.1%, CD1 30.8%, CD2-3 18.4%, and CD ≥ 4 6.7%. Insufficient income, divorced/separated parents, reconstructed families, and single parents played impressive roles with strong ORa gradients (reaching 4.86) from CD1 to CD ≥ 4. Being European immigrant, low parents’ education, and low fathers’ occupations had significant gender-age-adjusted odds ratios for CD2-3 and CD ≥ 4, but these became non-significant when adjusted for all socioeconomic factors. Older adolescents had higher risks for multi-morbidity which did not change when adjusting for all socioeconomic factors. Conclusions: Multi-morbidity including a wide range of mental health, behavioral, and school difficulties was common in early adolescence. Insufficient income and non-intact families played impressive roles. Being immigrant, low parents’ education, and low fathers’ occupations also played strong roles but these were explained by insufficient income and non-intact families. Prevention against multi-morbidity should be designed to help adolescents to solve their difficulties, especially among adolescents with socioeconomic difficulties. [less ▲]

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See detailWhich Caregiving esteem for which Gender ?
Bucki, Barbara UL; Baumann, Michèle UL

in Psychology & Health (2012), 27(suppl 1), 170-171

Background: Two years after stroke, are the factors of the esteem of caregiving the same by gender? Methods: Face-to-face questionnaires administered to 92 Luxembourgish and Portuguese stroke patients and ... [more ▼]

Background: Two years after stroke, are the factors of the esteem of caregiving the same by gender? Methods: Face-to-face questionnaires administered to 92 Luxembourgish and Portuguese stroke patients and their 67 men and 25 women caregivers. For each sex, a multiple regression entering:- Neurological impairments,- Patients’ and caregivers’ life satisfaction [1;10],- Reactions towards caregiving: esteem (dependent variable), lack of family support, impacts on finances, schedule and health (Caregiver Reaction Assessment subscales),- Confidence in information subscale from the Carer Satisfaction Community Services. Results: Caregivers with a high caregiving esteem are, in women: those who trust information from community services ( ¼0.412***) and care for patients keeping few sensory impairments ( ¼0.300**; R2adj.¼0.257); in men : those who are low impacted on their health ( ¼0.471*) and care for patients satisfied with life ( ¼0.371; R2adj.¼0.447). Discussion: Home-based rehabilitation can be sustained by developing men and women caregivers’ specific health capabilities. [less ▲]

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See detailPrendre soin des personnes après AVC : réactions émotionnelles des aidants informels hommes et femmes.
Bucki, Barbara UL; Baumann, Michèle UL

in Santé Publique : Revue Multidisciplinaire pour la Recherche et l'Action (2012), 24(2), 143-156

The objective of this study was to assess the emotional response to caregiving among stroke caregivers living in Luxembourg, and to assess the social and psychological impact of strokes on households, two ... [more ▼]

The objective of this study was to assess the emotional response to caregiving among stroke caregivers living in Luxembourg, and to assess the social and psychological impact of strokes on households, two years after the event. Questionnaires were administered to 62 patient (64.4 years old)/caregiver (59.3 years old) dyads. The survey focused on: 1) residual impairments, based on the American Heart Association Stroke Outcome Classification; 2) the Caregiver Reaction Assessment (CRA – 24 items – 5 dimensions); and 3) changes in the division of household tasks (seven items). Although male and female caregivers care for patients with similar residual impairments, the study found that female caregivers were more likely to be affected by the impact of caregiving on their health and schedule and by lack of family support. Women were more likely to feel “tired all the time” (50% vs. 12.5%), to struggle to “find time to relax” (35.7% vs. 6.3%) and to feel that “others dumped caring onto them” (35.7% vs. 11.8%). Since the onset of stroke, women had also taken on more responsibilities in the household (37.5% vs. 5.9%), while men were more likely to “enjoy caring” for patients (93.8% vs. 67.9%) and to have become more involved in organizing holidays (29% vs. 5.6%) and seeing friends (20.6% vs. 10.5%). Because of the high level of exhaustion, particularly among women, caregivers are a high-risk population for the healthcare system. Interventions such as trialogue and counseling are required to meet the needs of male and female caregivers. [less ▲]

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See detailL’Europe Universitaire. L’identité d’étudiante face à l’employabilité.
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

Book published by Academia L’Harmattan (2012)

Entrer à l'université impose aux jeunes étudiants de renoncer à leurs habitudes de lycéens pour s'adapter à l'environnement et au travail universitaires. Comment négocient-ils ce passage, dans un contexte ... [more ▼]

Entrer à l'université impose aux jeunes étudiants de renoncer à leurs habitudes de lycéens pour s'adapter à l'environnement et au travail universitaires. Comment négocient-ils ce passage, dans un contexte de crise de l'emploi et de réformes de l'enseignement supérieur? Sur quelles bases construisent-ils leur identité d'étudiant? Quelles sont leurs craintes et leurs interrogations? Avec le processus de Bologne, l'employabilité durable s'impose comme une des finalités des enseignements. Quelles compétences d'employabilité les étudiants se reconnaissent-ils? En quoi leur parcours universitaire contribue-t-il à l'acquisition de telles compétences? Enfin, qu'en est-il pour ceux qui quittent l'université sans achever leur première année d'études, désormais qualifiés de "décrocheurs"? Autant d'interrogations auxquelles cet ouvrage s'efforce de répondre, au travers de cinq études menées auprès d'étudiants belges, français, luxembourgeois et roumains. [less ▲]

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See detailLife satisfaction of two-year post-stroke survivors: effects of socioeconomic factors, motor impairment, Newcastle Stroke-specific Quality of Life leasure and World health Organization quality of Life-bref of informal caregivers in Luxembourg and a rural area in Portugal.
Baumann, Michèle UL; Lurbe-Puerto, Katia UL; Leandro, M. E. et al

in Cerebrovascular Diseases (2012), 33

Background: Life satisfaction of stroke survivors is known to be associated with socio-economic factors and the survivor’s and his/her caregiver’s quality of life, but their respective influence remains ... [more ▼]

Background: Life satisfaction of stroke survivors is known to be associated with socio-economic factors and the survivor’s and his/her caregiver’s quality of life, but their respective influence remains to be fully elucidated. Purpose: To analyse the stroke survivors’ life satisfaction 2 years after the event and its relationships with quality of life, socio-economic and stroke-related characteristics, and with informal caregivers’ life satisfaction and quality of life . Methods: Over 18 months, all stroke patients from Luxembourg and northeastern Portugal who lived at home were identified from the Inspection Générale de la Sécurité Sociale and hospital records, respectively. The clinical diagnosis of cerebrovascular disease was confirmed. We excluded all patients who declared that stroke did not result in neurological impairmentsat the time of stroke from the statistical analysis. The samples comprised 79 patients in Luxembourg and 48 in Portugal. Patients and the people they identified as their main caregivers were interviewed using validated questionnaires measuring life satisfaction, i.e. the Newcastle Stroke-Specific Quality of Life (Newsqol – 11 subscales), which identifies the areas affected by stroke among patients, and the World Health Organization Quality of Life – bref (Whoqol-bref – 4 subscales) of informal caregivers. Survivors without neurological impairment at the time of stroke were excluded. Data were analysed via multiple-regression models. Results: Life satisfaction was higher among women and lower among subjects with impaired motor functions. It was lower among Portuguese respondents with low-level education ( <12th grade) and higher among those at work (37.6/100). In Luxembourg, retired people had more life satisfaction than did working people (–7.9/100). Controlling for socio-economic factors, life satisfaction was associated with feelings- Newsqol (slope 0.25) among Luxembourg residents, and with feelings-, mobility- and self-care-Newsqol (slopes 0.24, 0.27 and 0.33, respectively) among Portuguese respondents. Life satisfaction of patients was strongly related to that offamily caregivers among the Portuguese respondents (slope 0.66) but the relationship was moderate in Luxembourg (slope 0.28). The survivors’ life satisfaction was not correlated with any Whoqol-bref domain in the Luxembourg group, but was correlated with the Whoqol-bref psychological, social relationships and environment domains among the Portuguese respondents (slopes 0.55, 0.59 and 0.51, respectively). Conclusions: The life satisfaction scale and the Newsqol stroke instrument, which identify areas of quality of life affected by stroke, are reliable patient-centred markers of intervention outcome. They can be used within the framework of medical follow-up (such as telephone assistance, clinical practice and prevention). Depending on the stroke survivor’s and the family caregiver’s habitual lifestyle and material circumstances, enhancement of a caregiver’s quality of life can help maintain the patient’s life satisfaction, particularly in a rural setting. [less ▲]

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See detailReviews about university from freshmen in social sciences: what to remember for European policies!
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

in Higher Education in the 21st Century: Conceptualization and Performance (2012)

In Europe, traditional missions of university are to produce and transmit knowledge; higher education is free of any professional purpose. But in the early 21st century, the Lisbon and the Bologna process ... [more ▼]

In Europe, traditional missions of university are to produce and transmit knowledge; higher education is free of any professional purpose. But in the early 21st century, the Lisbon and the Bologna process set new goals to ensure on the one hand the competitiveness of European higher education on the global market and on the other hand the sustainable employability of graduates. The freshmen students must adapt to university environment, adopt new patterns, learn how to study at uni, etc. In the same time academic leaders focus on the need to quickly become employable, ie to be mobile, flexible, able to practice foreign languages, etc. This study which focuses on feelings of first year students in social sciences from 4 European universities was conducted in two steps: - The first objective was to explore their perceptions on university life and their approach of employability. Ten focus groups were held in France (5 groups, 39 participants) and in Luxembourg (5 groups, 51 participants). It appears that they consider their social student identity as a major determinant of their well-being at university. They are concerned about the reform of curricula in their respective countries and have difficulty making connections between training and the job market. - The second objective was to assess through an online questionnaire the scores of StUdent Social Identity (SUSI - 12 items) of Belgians (102), Luxembourgers (103) and Romanians (77), and their scores of Employability Skills acquired at University (ESU - 6 items). Our study revealed a highly significant correlation between SUSI and ESU (Spearmans rho = 0.377, p = 0.000). The mean scores (out of 100) are significantly different according to universities. If Luxembourgers get the best score SUSI (67.64 vs. Romanians 40.79, vs. Belgians 63.34), the score ESU is higher in Romania (74.94 vs. Luxembourg 71.26 vs. Belgians 63.03). These differences suggest that European universities can't develop upon a single model. The university policies must address the national context (historical and socioeconomic) and not overlook identity construction of students. As citizens and future leaders of our countries, they have to be heard and their points of view must be incorporated into thinking about missions of universities. [less ▲]

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See detailExperiences of caregiving, satisfaction of life and social repercussions among family caregivers, two years post-stroke.
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Social Work in Health Care (2012), 51

Cerebrovascular diseases are a public health and social policy priority in Europe due to their high prevalence and the long-term disability they may result in (as the principal cause of handicap ... [more ▼]

Cerebrovascular diseases are a public health and social policy priority in Europe due to their high prevalence and the long-term disability they may result in (as the principal cause of handicap). Increasingly, family caregivers take over the care at home of these patients. Two years post-stroke, our study analyzed the feelings of family caregivers from Luxembourg and northeastern Portugal toward their experience of caregiving and its repercussions on social and couple relationships, life satisfaction, and socioeconomic characteristics. Participating hospitals identified survivors and consent was sought by letter. Patients (n = 62) and their main caregivers (n = 46 pairs) were interviewed at home. The mean life satisfaction of caregivers was similar, but the experience of providing care differed in terms of family support, and disruptions of the caregivers’ family responsibilities. More Portuguese respondents gave activities up, found little time for relaxation, and estimated that their health had deteriorated; more Luxembourgers felt strong enough to cope. More Portuguese spouses reported an impact on their sex lives. Family caregivers represent a “population at risk.” Social workers can help them by providing domestic assistance, undertaking coaching activities, fostering favorable attitudes, and offering reassurance. Home-based rehabilitation in Europe involving family care must take account of cultural lifestyle issues. [less ▲]

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See detailHarmonie et divergences des couples sur les repercussions familiales et sociales apres la survenue d’un accident vasculaire cerebral.
Baumann, Michèle UL; Bucki, Barbara UL

in Analele Stiintifice ale Universitatii "Alexandru Ioan Cuza". Sectiunea Sociologie si Asistenta Sociala = Scientific Annals of the “Alexandru Ioan Cuza” University. Sociology and Social Work Section (2012), 5(1), 155-173

Deux ans après la survenue d’un accident vasculaire cérébral (AVC), l’harmonie et la divergence entre les déclarations des patients et des conjoints ont été analysées auprès de 51 couples vivant au ... [more ▼]

Deux ans après la survenue d’un accident vasculaire cérébral (AVC), l’harmonie et la divergence entre les déclarations des patients et des conjoints ont été analysées auprès de 51 couples vivant au Luxembourg à l’aide d’un entretien mené à leur domicile. « L’AVC a créé des bouleversements considérables dans ma famille » et « au début, personne ne savait quelle attitude avoir avec la personne AVC »; ces retentissements sont, pour les couples, indiscutables. D’autres effets les affectent: « le caractère de la personne AVC a changé complètement depuis son AVC », ils estiment que « c’est sur le plan psychologique que cela a été le plus difficile ». Malgré les changements intervenus, les voyages demeurent un sujet qui les mobilise. Les besoins « d’information concernant l’aide financière » et « d’aide pour faire des demandes administratives, d’allocations ou de services » sanitaires et socio-éducatifs sont des priorités communes. Ils sont attentifs au fait que « les services et l’équipement fournis soient de bonne qualité » et dispensés à « des moments de la journée qui conviennent ». Les personnes victimes d’un AVC sont plus nombreuses que leurs aidants à reconnaître que « lorsqu’on a un AVC, on se sent dévalorisé ». Cette différence entre les attitudes des patients et des conjoints est une forme de stigmatisation du handicap dont souffrent les victimes confrontées à une image qui n’est plus celle qu’ils avaient d’eux avant l’accident. Avec le vieillissement de la population, une conception de la prise en charge par couple devrait être pensée dans le cadre du maintien à domicile. De nouvelles perspectives de recherche en sociologie médicale pourraient être développées. [less ▲]

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See detailGender disparities of depressive mood and roles of family factors, school difficulty, violence, and unhealthy behaviours among adolescents
Chau, Kénora; Baumann, Michèle UL

in Social Justice and Democratization (2012)

Nowadays modern societies are to be more competitive and include more non-intact families and living difficulties due to employment and social deprivations. Adolescents may suffer from depressive mood (DM ... [more ▼]

Nowadays modern societies are to be more competitive and include more non-intact families and living difficulties due to employment and social deprivations. Adolescents may suffer from depressive mood (DM) which is common and multi-factorial. This study assessed, among boys and girls, the causal relationships between DM and parent education, nationality, occupation, income, divorce/separation, and death, repeating a school-year, lifetime alcohol/tobacco/cannabis/other drugs uses, victim of violence and sexual abuse, involvement in violence, and lack of social supports (family members/friends). Methods: 1559 middle-school adolescents from north-eastern France (mean age 13.5, SD 1.3) completed in class a questionnaire including DM (Kandel scale), factors studied, and their occurring/persisting period. Data were analyzed using Cox models taking into account risk factors which came before and persisted until DM occurring. Findings: Lifetime-DM affected 7.6% of boys and 19.1% of girls. Among girls factors with significant crude hazard ratios (HR) were: parent divorce/separation (1.57), insufficient income (1.95), repeating a school-year (1.95), victim of violence (2.99) or sexual abuse (4.96), and lack of supports (4.08 for score 1-2 and 7.74 for score 3+, vs. score 0) while tobacco use was close to significance (1.77). Taking all factors into account retained only repeating a school-year (adjusted HR 1.87), victim of violence (2.50) or sexual abuse (4.02), and lack of supports (3.83 and 7.28). Among boys, the significant factors were: hard-drug use (6.01), victim of violence (2.88), and lack of supports (2.27 and 4.78) while insufficient income (1.75), low parent education (1.60), and victim of sexual abuse (3.58) were close to significance. Full model retained only victim of violence (adjusted HR 2.29) and lack of supports (2.16 and 4.18). Conclusion: Taking chronology in consideration revealed strong gender disparities for DM and its associations with family characteristics, school difficulties, unhealthy behaviours, violence, and social supports that may be prevention targets. [less ▲]

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See detailPour aller au-delà des incertitudes épistémologiques : une validation de cohérence entre des données existantes et le construit théorique du concept de « health capability » adapté aux aidants familiaux
Bucki, Barbara UL; Baumann, Michèle UL

in XIXè Congrès International de Sociologie (2012)

Une étude dont le questionnaire, adressé à 62 aidants familiaux, porte sur les répercussions émotionnelles, sociales et familiales d’un accident vasculaire cérébral (AVC) survenu deux ans auparavant, a ... [more ▼]

Une étude dont le questionnaire, adressé à 62 aidants familiaux, porte sur les répercussions émotionnelles, sociales et familiales d’un accident vasculaire cérébral (AVC) survenu deux ans auparavant, a été reprise en tentant d’approcher le concept novateur de « health capability ». Le chercheur devant s’interroger sur la pertinence des construits théoriques, notre hypothèse a été qu’il existe un recouvrement probable entre les thèmes explorés dans l’étude AVC et les dimensions de health capabilty. Une validation de cohérence effectuée par deux chercheures a confirmé cette hypothèse : 129/164 items ont pu être répartis dans 14 des 15 dimensions du concept à l’étude. Cette répartition met en lumière les informations de l’enquête qui couvrent partiellement le construit théorique et les dimensions restant inexplorées. Des entretiens semi-structurés suivis d’une analyse qualitative des discours seront réalisés afin d’identifier le sens des contenus. Lors de notre communication, nous présenterons, à l’aide d’exemples, les étapes de cette réflexion que nous avons menée pour faire face, mais aussi pour aller au-delà des incertitudes apparentes. Puis nous discuterons de l’intérêt d’une telle démarche de va-et-vient entre un concept emprunté à la littérature et une base de données issue d’une étude mise à notre disposition. Nous mettrons en évidence l’importance de penser l’incertain épistémologique afin de mieux appréhender la compréhension contextualisée de concepts émergents. [less ▲]

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See detailSchool difficulties and role of social, material, behavioural, physical and mental resources among multi-cultural students.
Chau, Kénora; Baumann, Michèle UL

in BMC Public Health (2012), 12

Background: School is a multi-cultural setting where students need social, material, physical, and mental resources to attain school achievement. But they are often lacking, especially for immigrant ... [more ▼]

Background: School is a multi-cultural setting where students need social, material, physical, and mental resources to attain school achievement. But they are often lacking, especially for immigrant students. In an early adolescence context, this study assessed risk for school difficulties among European and non-European immigrants and the roles of socioeconomic characteristics, physical health, psychological health, social relationships, living environment, and unhealthy behaviours. Methods: This cross-sectional study included 1,559 middle-school adolescents from north-eastern France, who completed a self-administered questionnaire including socioeconomic characteristics (gender, age, family structure, father’s occupation, and family income), WHO-Quality of life (measuring the four dimensions physical health, psychological health, social relationships, and living environment), unhealthy behaviours (last-30-day uses of tobacco, alcohol, cannabis, and other illicit drugs and no regular ports/physical activities), grade repetition, low school performance (<10/20), and school dropout ideation at 16 years. Data were analyzed using logistic models. Results: Grade repetition affected 14.8% of students, low school performance 8.2%, and school dropout ideation 3.9%. European immigrants had a higher risk for grade repetition only with a gender-age-adjusted odds ratio (OR) of 2.44, vs. French students. This odds ratio decreased to 1.76 (contribution 47%) with further adjustment for all confounders (family structure, father’s occupation, family income, physical health, psychological health, social relationships, living environment, and unhealthy behaviours). Non-European immigrants had a statistically higher risk for all grade repetition, low school performance, and school dropout ideation with ORs of 3.29, 3.02, and 3.42, respectively vs. French students. These odds ratios decreased to 1.76, 1.54, and 1.54, respectively (contributions 66%, 73%, and 78%) with further adjustment for all confounders. Conclusions: Compared with French students, European immigrant students were more affected only by grade repetition while non-European immigrant students by all grade repetition, low school performance, and school dropout ideation. The contribution of socioeconomic characteristics, physical health, psychological health, social relationships, living environment, and unhealthy behaviours was very high and much higher for non-European than for European immigrant students. Public policy should focus on these factors and services to reduce school difficulties. [less ▲]

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See detailPrevalence of Problem Drug Use and Injecting Drug Use in Luxembourg: A Longitudinal and Methodological Perspective.
Origer, Alain UL; Baumann, Michèle UL

in European Addiction Research (2012), 18

To estimate the prevalence of problem drug use (PDU) and injecting drug use (IDU) in Luxembourg and analyze trends between 1997 and 2009. To assess the feasibility of prevalence estimations based on drug ... [more ▼]

To estimate the prevalence of problem drug use (PDU) and injecting drug use (IDU) in Luxembourg and analyze trends between 1997 and 2009. To assess the feasibility of prevalence estimations based on drug use surveillance systems. Methods: Serial multi-method PDU/IDU prevalence estimations based upon capture-recapture, Poisson regression, multiplier and back-calculation methods. Comparative analysis of methods and assessment of their robustness to variations of external factors. Results: National PDU and IDU prevalence rates were estimated at 6.16/1,000 (95% CI 4.62/1,000 to 7.81/1,000) and 5.68/1,000 (95% CI 4.53/1,000 to 6.85/1,000) inhabitants aged 15–64 years, respectively. Absolute prevalence and prevalence rates of PDU increased between 1997 and 2000 and declined from 2003 onwards, whereas IDU absolute prevalence and prevalence rates witnessed an increasing trend between 1997 and 2007. Conclusions: Drug use surveillance systems can be valuable instruments for the estimation and trend analysis of drug misuse prevalence given multiple methods are applied that rely on serial and representative data from different sources and different settings, control multiple counts and build upon standardized and sustained data collection routines. The described institutional contact indicator revealed to be a useful tool in the context of PDU/IDU prevalence estimations and thus contributes to enhancing evidence-based drug policy planning. [less ▲]

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See detailPatient-caregiver differences and dyad concordance towards psychosocial impacts of stroke
Bucki, Barbara UL; Baumann, Michèle UL

in Psychology & Health (2012), 27(suppl 1), 14

Are patient-caregiver dyads concordant when applying to stroke psychosocial impacts ? Methods: Two questionnaires administered two years poststroke in Luxemburg to 62 patients and their 62 natural ... [more ▼]

Are patient-caregiver dyads concordant when applying to stroke psychosocial impacts ? Methods: Two questionnaires administered two years poststroke in Luxemburg to 62 patients and their 62 natural caregivers include 15 common items assessing psychosocial impacts of stroke on both patients and caregivers. We (1) compare these impacts of stroke on patients and caregivers, and (2) use paired analysis of the concordance in responses within dyads. Findings: Patients feel ashamed, more often than caregivers imagine (11.3% vs. 3.2%*). Patients perceive less often than caregivers an upheaval in their couple (19.4% vs. 38.7%*), and preponderance of psychological difficulties (41.9% vs. 69.4%**). Loss of friends (90.7% convergent vs. 9.3% divergent*), social life (75% vs. 25%*) and family upheavals (76.8% vs. 23.2%*) are concordant subjects within dyads, contrary to feeling undervalued (62.8% vs. 37.2%; ns) and bonds’ strengthening (81.5% vs. 18.5%; ns). Discussion: Improving communication about feelings within patient-caregiver dyads may enhance their social capital as a health capability. [less ▲]

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See detailVivre à domicile, deux ans après un AVC : Etude auprès des patients et des aidants du Luxembourg.
Baumann, Michèle UL

Presentation (2012)

Au Luxembourg, une recherche pluridisciplinaire a été réalisée auprès de 797 personnes victimes d’un accident vasculaire cérébral (AVC). Une enquête nationale a été menée comportant un volet ... [more ▼]

Au Luxembourg, une recherche pluridisciplinaire a été réalisée auprès de 797 personnes victimes d’un accident vasculaire cérébral (AVC). Une enquête nationale a été menée comportant un volet épidémiologique effectué par le CRP-Santé, qui a rassemblé des données médico-administratives et des données cliniques issues des dossiers d’hospitalisation, et un volet de sociologie médicale par l’Université qui a interrogé 94 patients vivant au domicile, deux après la survenue de l’AVC, et leurs 62 aidants informels principaux. Des recommandations majeures de santé publique et de politiques sociales peuvent être formulées sur la nécessité de mettre en place : 1) un système de surveillance des AVC, indispensable pour orienter les politiques de santé en termes de promotion, prévention et intervention; 2) une filière de soins AVC plus visible, mieux structurée et coordonnée; 3) un suivi social et éducatif par un « gestionnaire des familles AVC » (patients, mais aussi et surtout aidants) et des aides financières pour développer un véritable soutien à domicile à moyen et long terme; 4) une prévention primaire en faveur des aidants que les souffrances physiques, psychiques et la faible qualité de vie sociale amènent à devenir une « population à risque » du système de santé, situation qui touche directement, ou sera susceptible de concerner dans un avenir proche, la plus grande partie d'entre nous. [less ▲]

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See detailFailure of school project: the role of social, material, behavioural, physical and mental resources among multi-cultural students.
Chau, Kénora; Baumann, Michèle UL

in Psychosociological Work in Transcultural Contexts (2012)

Youth context require social-material-behavioral-mental resources to realize school achievement and their community participation, but they are lacking or altered for many adolescents. In an early ... [more ▼]

Youth context require social-material-behavioral-mental resources to realize school achievement and their community participation, but they are lacking or altered for many adolescents. In an early adolescence context, this study assessed the associations of these factors with repeating a school year, low school-performance, and quitting-school thinking at 16 years. Methods: Questionnaires were completed by 1559 middle-school adolescents from north-eastern France including: sex, age, family structure, parental education, income, and occupation, WHOQoL (quality of life for 4 domains physical, psychological, social relationship, and environment; <25th percentile value), last-30-day consumption of tobacco/alcohol/ cannabis/hard drug, regular sports/physical activities, victim of violence, sexual abuse, implication in violence, suicidal ideation, social supports, repeating a school year, low summer-term school-performance (<10/20), and quitting-school-thinking. Data were analyzed using logistic models which yield adjusted odds ratios (OR). Results: Repeating a school-year affected 14.7%, low school performance 8.2%, and quitting-school-thinking 3.9%. Repeating a school-year was significantly related to increasing age (OR 2.18), father being a manual worker (2.79 vs. manager/professional), clerk (2.36), craftsman/tradesman/firm-head (1.68), or unemployed (4.65), low WHOQoL-environment (2.29), tobacco use (1.70), and hard drug use (2.35). Low school-performance was linked with increasing age (OR 1.25), father being a manual worker (4.81 vs. manager/professional), clerk (3.30), craftsman/tradesman/firm-head (2.36), or unemployed (5.41), tobacco use (3.95), low WHOQoL-physical (2.27), and low WHOQoL-psychological (1.56). Quitting-school-thinking was associated with being male (OR 4.03), divorced/separated-parents (2.92 vs. intact family), not living with parent(s) (3.45), implication in violence (5.19), sexual abuse (4.11), and suicidal ideation (2.47). Conclusion: Socioeconomic living conditions and physical/mental difficulties have impressive impacts on failure of school project in youth. Public policy aiming at improving school achievement should focus on improvement of environment and living conditions, well-being, and monitoring physical/behavioral/mental difficulties as well as services appropriate to reduce school difficulties. This should promote community participation at adolescence and also at adulthood. [less ▲]

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See detailDo relative socioeconomic deprivations impact on subjective health-related quality of life and behaviors among adolescents?
Chau, Nearkasen; Baumann, Michèle UL

in 40th World Congress of Sociology (2012)

Socioeconomic deprivations include relative parent-education, family structure, nationality, parentoccupation and income that could impact on subjective well-being among adolescents which then persists in ... [more ▼]

Socioeconomic deprivations include relative parent-education, family structure, nationality, parentoccupation and income that could impact on subjective well-being among adolescents which then persists in adulthood. In an early adolescence context, this study assessed the associations of the previous factors with subjective health-related quality of life (QoL) and behaviors. Methods: Questionnaires were completed by 1559 middle-school adolescents from north-eastern France (mean age 13.5 (SD 1.3) years) including: sex, age, family structure, parent-education/income/occupation, last-30-day tobacco/alcohol/cannabis/hard-drug consumption, sports activities, victim of violence, sexual abuse, violenceimplication, suicidal ideation, social supports, and WHOQoL (4 domains physical, psychological, socialrelationship, and environment; <10th percentile value). Data were analyzed using logistic models which yield adjusted odds ratios (OR, sex/age taken into account). Results: Low WHOQoL-physical, WHOQoL-psychological, WHOQoL-social-relationship and WHOQoLenvironment affected 14.1%, 9.6%, 16.1%, and 12.6%, respectively. Last-30-day tobacco/alcohol/cannabis/harddrug uses affected 11.2%, 35.2%, 5.6%, and 2.8%, respectively. WHOQoL-physical significantly related to parent low-education (OR=1.59), reconstructed-family (1.98, vs. intact-family), divorced/separated-parents (1.85), nonliving-with-parent (2.44), non-European-nationality (2.31), and insufficient-income (1.50). WHOQoLpsychological related to reconstructed-family (OR=1.91), divorced/separated parents (1.98), and insufficientincome (1.62). WHOQoL-social-relationship related to divorced/separated-parents (1.89), non-European nationality (4.58), and insufficient-income (1.36). WHOQoL-environment related to parent-low-education (OR=2.01), reconstructed-family (1.80), divorced/separated parents (3.25), single-parent-family (1.88), non-living with-parent (2.13), non-European-nationality (3.33), and insufficient-income (1.71). Last-30-day tobacco/alcohol/cannabis/hard-drug uses related to family-structure, European-non-French-nationality, and insufficient-income with great OR-variations across substances (up to 5.30). Parent-low-education was negatively linked with alcohol use (0.70). Regarding parent-occupation risks were lower for cannabis use among clerk/manual-worker-family (ORs about 0.30) and higher for intermediate-professional-family (1.88) and craftsman/tradesman/firm-head-family (2.02). These associations were mediated by school-performance, sports activity, obesity, sexual abuse, violence, suicidal ideation, and social support. Conclusion: Relative socioeconomic deprivations highly impact on adolescent’s subjective well-being. Risk patterns are complex and greatly vary between quality of life domains and substance uses. Since early ages adolescent’s well-being should be assessed/monitored with school-doctor-family cooperation. [less ▲]

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See detailWhat is the value of keeping patients at home if informal caregivers become exhausted to the detriment of their own life satisfaction?
Baumann, Michèle UL; Couffignal, Sophie

in Social Justice and Democratization (2012)

Cerebrovascular diseases like Alzheimer’s disease increase among European populations, and the number of patients living at home, with domestic support is growing. Our study analysed, two years post ... [more ▼]

Cerebrovascular diseases like Alzheimer’s disease increase among European populations, and the number of patients living at home, with domestic support is growing. Our study analysed, two years post-stroke, the life satisfaction (LS) and its relationships with the quality of life (QoL) of the survivors and their informal caregivers, and socioeconomic characteristics, and impaired functions. All stroke survivors admitted in hospital from the 1st July 2006 to the 30th June 2007 were selected by the National Health Insurance of Luxembourg, using the administrative reimbursement database: patients living at home and their main caregivers were interviewed with questionnaires assessing LS (one question as the European survey), survivor’s Newsqol, and caregiver’s Whoqol-bref. Ninety-four survivors (65.5 years) and 62 informal caregivers (59.3 years) were included in our analyses. Sex and occupational status had a positively effect on patients: their LS was higher in women and retired people. In opposite, patients at home without a professional activity had a much lower LS score. Adjusted for sex, occupational status and impaired motor and memory functions, patients’ LS was higher for higher scores of Newsqol dimensions of feelings, sleep, emotion, cognition, and pain, but was not correlated with any of the caregiver’s Whoqol-bref domains. Informal caregiver’s LS was negatively associated with female sex and care taking of patients with impaired memory. Similarly, it was relied to feelings and emotion Newsqol dimensions and to all Whoqol-bref domains: social relationships, psychological, physical health, and environment. The needs, resources, skills and will of the informal caregivers for taking care of the other must be better taken into account. The informal caregivers represent a “population at risk” who European health systems need to consider. Coaching patients and informal caregivers with socio-educational activities that foster positive attitudes and provide motivation, reassurance and information can help sustain home-based rehabilitation and maintain patients’ LS. [less ▲]

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See detailLife satisfaction two-years after stroke onset: the effects of gender, occupational status, memory function and quality of life among stroke patients (Newsqol) and their family caregivers (Whoqol-bref) in Luxembourg
Baumann, Michèle UL; Couffignal, Sophie; Le Bihan, Etienne UL et al

in BMC Neurology (2012), 12

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective ... [more ▼]

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective influences remain unclear. This study assessed, two years post-stroke onset, the effects of these factors on patients' LS and family caregivers' LS in Luxembourg. METHODS: All stroke patients admitted to all hospitals in Luxembourg were identified by the 'Inspection Général de la Sécurité Sociale' using the only national system database for care expenditure reimbursement. Their diagnosis was confirmed by medical investigator. The sample included ninety four patients living at home having given consent (mean age 65.5 years) and sixty two main caregivers (mean age 59.3 years). Questionnaires were completed during face-to-face interviews. LS was assessed via European single question (range 1-10), survivors' QoL via Newsqol (11 dimensions), and caregivers' QoL via Whoqol-bref (4 domains) (range 0-100). Data were analysed using multiple regression models. RESULTS: Two years after stroke onset, 44.7% of patients suffered from impaired sensory function, 35.1% from impaired motor function, and 31.9% from impaired memory function. Mean patient' LS was 7.1/10 (SD 1.9). It was higher in women (+12.4) and lower among unemployed socioeconomically active patients (-13.1, vs. retired people). Adjusted for sex, occupation, impaired motor and memory functions, LS positively correlated with scores of Newsqol feelings, sleep, emotion, cognition and pain dimensions (slopes 0.20 to 0.31), but did not correlate with those of caregivers' Whoqol-bref domains. Family caregiver' LS was 7.2 (SD 1.7). It was lower in those with patients suffering from impaired memory function (-12.8) as well as from feelings and emotion issues (slopes 0.22). It was associated with all caregivers' Whoqol-bref domains (physical health, psychological health, environment, and social relationships) (slopes 0.53 to 0.68). CONCLUSIONS: Two-year post-cerebrovascular disease patient' LS was associated with gender, occupation, and impaired memory function. It correlated with feelings, sleep, emotion, cognition, and pain issues. Family caregivers of patients with impaired memory function had lower LS. Family caregiver' LS correlated with dimensions of patients' feelings (less independent, yourself, life changed, depressed, useless, less control because of stroke) and emotion (get more emotional, fear of another stroke or to become dependent on others), and with their own QoL. LS, Newsqol, and Whoqol appeared to be appropriate tools. Our findings may be useful for policy makers in relation to family and medical-social issues of stroke home-based rehabilitation. [less ▲]

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